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ARCHIVED REPORTS_XR0003914
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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LODI
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3500 - Local Oversight Program
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PR0545420
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ARCHIVED REPORTS_XR0003914
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Entry Properties
Last modified
3/5/2020 5:46:25 PM
Creation date
3/5/2020 4:51:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003914
RECORD_ID
PR0545420
PE
3528
FACILITY_ID
FA0003815
FACILITY_NAME
TESORO (SPEEDWAY) 68154
STREET_NUMBER
2500
Direction
W
STREET_NAME
LODI
STREET_TYPE
AVE
City
LODI
Zip
95240
APN
02740006
CURRENT_STATUS
02
SITE_LOCATION
2500 W LODI AVE
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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i - <br /> Billj nformation : CHAIN-OF-CUSTODY RECORD Page: <br /> 1of1 <br /> Alpha Analytical, Inc. <br /> WorkOrder : STR00102024 <br /> 255 Glendale Avenue,Suite 21 Sparks,Nevada 89431-5778 <br /> TEL:(775)355-1044 FAX:(775)355-0466 <br /> Client: -. Report Dile By : 5:00 PM On : 27-Oct-00 <br /> Stratus Environmental Company Phone ax Secondary Phone/Fax <br /> 3330 Cameron Parte Drive TEL: (530)676-6001 TEL: (530)676.6002 EDD Recitlired :No <br /> Suite 550 "'FAX: (530)676-6005 i i FAX: (530)676-6005 Sampled by:Chris Hill <br /> Cameron Park,CA 95682-8861 .lob: 2DD7-0065-D1 �a <br /> Report Attention : Gowd Kowtha PO: Client's COC#: none Cooler Temp: °C 20-Oct-00 <br /> QC Level: 1 w Final Rpt Only <br /> Requested Tests -- <br /> Alpha Client Collection No.of Bottles <br /> TPH7P_A VaC_p <br /> Sample ID Sample ID Matrix Date ORG SUB TAT PWS# marks <br /> Sample Remarks <br /> .1 0 <br /> 00102024-01 .;_g- .. arx�a�srfe7x�oAsr <br /> STftA Inf,Total Air Aft 10119!00 Ter#1ar <br /> S tk m(be <br /> 6 Tedlar <br /> STft00102024-02A Int.Cat Air ' AR 10/19100 t 0 srx�rc�sr iarxeiC,Ast - <br /> l 09:54 Mid Abe <br /> STR001Q2024-03A1 Eff.Ait AR 10119!00 1 D 5 - nTxGCAsr[nrxFJcasr I Tedlar <br /> l kltbe Mrbc <br /> 09:44 <br /> Comments: Security Seals intact na ice. <br /> Signature Print Name Company naterrime <br /> Relinquished by' <br /> � <br /> Received by: ..�,.._�---sem�,i ,� ,'1.��t.:c�✓�-� -�_�... ..�t.� _ _ l,��g � ��i _...--_... _. 1.� � ... .. ._ Mb <br /> Relingni5hed by: <br /> Received hy: <br /> NOTE: Samples aro:discarded 60 days after results are reported unless other arrangements are made. Hazardous samples will he returned to client or disposed of at client expense. <br /> The report for the analysis of the above Samples is applicable only to those samples received by She laboratory with this COC.The Liability of the laharatmy is limited to the amount paid for the report. <br /> Matrix Type: AQ(Aqueous) AR(Aic) SO(Soi() WS(Was(e) RW(dr(nking Water) OT(Other) Bottle Type: L-Liter V-Voa S-Soil Jar O-Orbo T-Tedlar B-grass P-Plastic OT-Other <br />
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